MEDICARE: CARE AT HOME MEDICAL PRACTICE LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208D00000X	General Practice Physician

General Provider Information

NPI Number	:	1518732692
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CARE AT HOME MEDICAL PRACTICE LLC

Provider Business Mailing Address
First Line	:	564 NIAGARA ST BLDG 2
Second Line	:
City	:	BUFFALO
State	:	NY
Zip	:	14201-1108
Country	:	US
Telephone Number	:	716-324-5026
Fax Number	:	716-478-4230

Provider Business Practice Location Address
First Line	:	510 S SYCAMORE ST STE 5
Second Line	:
City	:	PETERSBURG
State	:	VA
Zip	:	23803-5044
Country	:	US
Telephone Number	:	310-418-7250
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	DR. RODNEY C ARMSTEAD
Credential	:	MD
Telephone Number	:	310-418-7250

Provider Enumeration Date	:	11/20/2023
Last Update Date	:	05/13/2026

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Directions to “CARE AT HOME MEDICAL PRACTICE LLC ” Practice Location

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